Lee Alison McCrary, APRN, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP131753 Issued in TX

Practice address

1102 S Runnels St
De Kalb, TX 75559-2302

Phone

(903) 276-1390

NPI assigned

Mar 31, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dekalb Physicians Clinic LLC

  • Family Medicine Physician
  • De Kalb, TX
  • NPI 1265565691
  Medicare reassignment NPD
• New Boston Medical Group LLP

  • Nurse Practitioner
  • New Boston, TX
  • NPI 1871571737
  Medicare reassignment NPD
• New Boston Medical Group LLP

  • Clinic/Center
  • Bella Vista, AR
  • NPI 1720706922
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1427411032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S RUNNELS ST",
            "city": "DE KALB",
            "state": "TX",
            "postal_code": "755592302",
            "telephone_number": "903-276-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S RUNNELS ST",
            "city": "DE KALB",
            "state": "TX",
            "postal_code": "755592302",
            "telephone_number": "903-276-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "LEE",
        "middle_name": "ALISON",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "759747",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP131753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandelle Doreen Fetner
• Kyle Groom, D.O.
• David Blair Hodges, D.D.S.
• Hubbard Independent School District
• Ingram Health Consulting
• Janet Marlene Moreland, PA
• Nacogdoches County Hospital District
• Patient Access Foundation
• Myron Patrick
• Ponderosa Nursing and Rehabiliation

• Nurse Practitioner in De Kalb, TX
• Providers in De Kalb, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.